A nurse is reinforcing teaching with a client who has coronary artery disease and is to begin a low-fat diet. Which of the following statements by the client indicates an understanding of the teaching?
"I will eliminate egg whites from my diet."
"I will use coconut oil when preparing food."
"I will eat fish three times a week."
"I will include 2 percent milk in my diet."
The Correct Answer is C
Choice A reason: Eliminating egg whites from the diet is not necessary, as they are a good source of protein and do not contain any fat or cholesterol. The client should limit or avoid egg yolks, which are high in cholesterol and saturated fat.
Choice B reason: Using coconut oil when preparing food is not advisable, as it is a source of saturated fat that can raise blood cholesterol levels and increase the risk of atherosclerosis and heart disease. The client should use unsaturated fats, such as olive oil or canola oil, which can lower blood cholesterol levels and improve heart health.
Choice C reason: Eating fish three times a week is a good practice, as fish are rich in omega-3 fatty acids that can reduce inflammation, lower blood pressure, and prevent blood clots that can cause heart attacks or strokes. The client should choose oily fish, such as salmon, tuna, or mackerel, which have higher amounts of omega-3 fatty acids.
Choice D reason: Including 2 percent milk in the diet is not recommended, as it contains more fat and calories than skim or 1 percent milk. The client should choose low-fat or fat-free dairy products, such as yogurt, cheese, or milk, which can provide calcium and protein without excess fat.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Applying a motion sensor mat to the client's bed is an appropriate action to prevent wandering and alert the staff if the client tries to get out of bed.
Choice B reason: Moving the overbed table away from the bed is not an effective action to prevent wandering, as it does not restrict the client's mobility or provide any supervision.
Choice C reason: Raising all four side rails while the client is in bed is an inappropriate action that can increase the risk of injury or entrapment if the client attempts to climb over them.
Choice D reason: Leaving the television on in the client's room is not an effective action to prevent wandering, as it does not provide any stimulation or distraction for the client.
Correct Answer is C
Explanation
Choice A: This is incorrect because placing the client in the Sims' position is not necessary for a colposcopy. The nurse should place the client in the lithotomy position, which allows better visualization of the cervix and vagina.
Choice B: This is incorrect because inserting a tampon following the procedure can interfere with healing and increase the risk of infection. The nurse should instruct the client to avoid using tampons, douches, or vaginal creams for at least a week after the procedure.
Choice C: This is correct because instructing the client to avoid sexual intercourse until the cervix is healed can prevent bleeding, infection, and trauma to the cervix. The nurse should advise the client to abstain from sexual activity for at least a week or until advised by the provider.
Choice D: This is incorrect because reinforcing teaching that the procedure involves dilation of the cervix can cause anxiety and discomfort for the client. The nurse should explain that the procedure does not require dilation of the cervix, but rather involves applying a speculum and using a microscope to examine the cervix and take tissue samples if needed.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today